psychiatry

While one often comes across articulate and well-argued articles criticising anti-depressants from a medical or efficacy point of view, one seldom comes across the philosophical argument against anti-depressants. It was, in fact, the philosophical case against anti-depressants that convinced me as a teenager that I would never, ever take them for myself, a decision that has been beneficial to me ever since.

I am against their usage both on medical grounds and on philosophical grounds, but I accept that anti-depressants are likely here to stay. Indeed, I would argue we have always had anti-depressants, for what else should we call caffeine, nicotine, alcohol, and opium but traditional remedies for our emotional ailments? People who are feeling low in motivation often indulge in coffee for the caffeine hit. People who lack courage often indulge in alcohol to shore up their nerves. People who are miserable will often indulge in excessive amounts of sugar to give themselves a rush. Everywhere, we have people self-medicating on different substances in attempts to battle their moods and unwanted feelings. Anti-depressants are not anything new, they’ve been with us all along.

In this piece, I am going to ignore all the medical and efficacy arguments, not because I do not think these discussions are not important, but because I believe the philosophical argument is the strongest of the three. For the sake of argument, I will assume that anti-depressants actually work precisely as intended: that they alleviate sadness, depression, grief, and malaise effectively and without significant side effects. I make this assumption not just for the sake of simplicity, but to better illustrate why we should be wary of them. I believe the better anti-depressants work, the stronger the philosophical case against them. Continue reading →

When you find yourself in a state of prolonged psychological distress, it can be overwhelming just thinking about getting professional help. Add to this the dilemma of trying to be sure that you’re actually investing your time and money wisely when you finally do choose a therapist. It can certainly be a daunting task, even more so if undertaken during a time of stress.

There are many factors to consider when selecting a therapist and which therapist to use. This article is by no means exhaustive, and these are mostly issues I’ve had in the past when looking for a good therapist for myself, as well as issues clients have brought up with me about their experiences in searching for a therapist. Certainly, there are many excellent therapists out there working in a variety of different contexts; however, to claim there aren’t dangerous, useless, or outright predatory therapists out there, as well, would be misleading people. Here are five concerns I think anyone seeking therapy ought think carefully about before committing to a therapist.

1. Not all therapists are equal

The first thing to consider when choosing which therapist is good for you is to acknowledge some basic facts: Therapists are people and therapy is a highly personal experience. No two therapists are equal in quality, skillset, and experience. Some therapists are better at dealing with depression, while others will be better at dealing with relationships. Some therapists have a strong moral code (not necessarily religious), while others are moral relativists. Some therapists also have their own issues- a therapist might feel unreasonably envious of pretty women and can’t listen compassionately to a pretty woman talk about how significant her problems are. These therapists might pretend to care, may even do a convincing job of pretending to care, but it is essential that a therapist genuinely cares and does not simply act caring because they are paid to. Your therapist should see you as a whole person, deserving of sincere compassion and understanding.